STACIA LANGAN SACKMASTER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

INACTIVE

Business

First Name

STACIA

Middle

LANGAN

Last Name

SACKMASTER

Business Name

STACIA LANGAN SACKMASTER

Original Issue Date

08/14/2013

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2025